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PROVIDER PROFILE · NPI 1144482373

Edgar MaciasM.D.

PRACTICEEDGAR S. MACIAS, M.D., INCSee all providers at this practice →
DermatologyFresno, CAI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 058233
Home health agency
CCN 050093
Hospital
REFERRAL NETWORK

Where Edgar Macias's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 29 inbound referrers · 71 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Ameripath New York Llc
Clinical Laboratory · White Plains, NY
524952
SAINT AGNES MEDICAL CENTER201299
Unilab Corporation
Clinical Laboratory · West Hills, CA
187413
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER3057
John Julian
Urology · Fresno, CA
2662
Dickran Gulesserian
Internal Medicine · Fresno, CA
2583
George Bertolucci
Ophthalmology · Fresno, CA
2334
Unilab Corporation
Clinical Laboratory · Fresno, CA
2338
Ucsf Dermatopathology Service
Clinical Laboratory · San Francisco, CA
2025
PHIRIPES, CONSTANTINE1849
Dale Merrill
Internal Medicine · Fresno, CA
1633
Thomas Minor
Urology · Clovis, CA
1628
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SAINT AGNES MEDICAL CENTER201294
Unilab Corporation
Clinical Laboratory · West Hills, CA
182435
Ucsf Dermatopathology Service
Clinical Laboratory · San Francisco, CA
156226
BERRY, BRENDA129166
Ameripath New York Llc
Clinical Laboratory · White Plains, NY
83122
Stephen Doggett
Radiation Oncology · Newport Beach, CA
77450
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER3656
Michael Lynch
Internal Medicine · Fresno, CA
34108
Patrick Golden
Internal Medicine · Fresno, CA
3161
Kwph Enterprises Inc
Ambulance Service Provider · Fresno, CA
2846
Dickran Gulesserian
Internal Medicine · Fresno, CA
28120
John Julian
Urology · Fresno, CA
2777
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
9,542
Unique beneficiaries
—
Total services
20,958
Distinct HCPCS
53
Medicare payment
$2.6M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,546 Dermatology providers in CA — top quintile (cohort median 2,504).
PRESCRIBING · PART D · 2024
Total Rx claims
1,920
Beneficiaries
—
Total drug cost
$259K
Distinct drugs
22
Brand share
6.1%
Top prescribed drugs
Cephalexin337 claims
Mupirocin310 claims
Gentamicin Sulfate296 claims
Doxycycline Hyclate290 claims
Minocycline Hcl136 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$981
Payment records
43
By payment type
Food and Beverage$981
QUALITY · MIPS · 2024
Final MIPS score
91.5
Quality
100.0
Cost
71.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.69%
Individual